Hello. My new PCP is an ARNP. I was successfully treated with Effexor (I believe 150 Mg), and Ativan (1 Mg Prn) for MDD and Panic attacks. The prescriber was an Emory trained Psychistrist which whom I highly respected. The new nurse practitioner has put me on Wellbutrin, stating that it will combat the panic attacks and depression. She informed me that she would never prescribe benzo-diazapines . My panic attacks have worsened with Agoraphobic tendencies. I have stayed on this new antidepressant for six weeks now, and know that it is time to request the return to an SNRI. How do you feel is the best way to communicate this request? I find it odd that someone would change the anti-depressant that was found to be effective in a patient, and discard the former TX. of a specialist. Thank you for your consideration.